发生痴呆症与住院住院的关联
Elizabeth A Phelan1, Soo Borson, Louis Grothaus
1Division of Gerontology and Geriatric Medicine, Department of Medicine, School of Public Health and Community Medicine, University of Washington, Seattle, WA 98104-2499, USA. phelane@uw.edu
新的痴呆症诊断显著增加了住院的风险,特别是对于可以预防的疾病. 这凸显了需要更好的门诊护理,以减少老年痴呆症患者入院的需要.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 痴呆症与更高的住院率和更差的治疗结果有关.
- 需要确定痴呆症患者的潜在可预防的住院病例.
研究的目的:
- 调查痴呆症发病率和住院率之间的关联.
- 检查痴呆症是否与住院的不同原因有关,特别是门诊护理敏感疾病 (ACSCs).
主要方法:
- 从成年人思维变化 (ACT) 研究中对3019名65岁以上的成年人住院的回顾性分析.
- 从1994年至2007年的数据被用来比较患有痴呆症的患者和没有痴呆症的患者的住院率.
- 分析重点是所有原因的入院和ACSCs的入院.
主要成果:
- 患有痴呆症的人与没有痴呆症的人相比,所有原因的入院率显著更高 (调整后的比率为1.41).
- 痴呆症组的门诊护理敏感条件 (ACSCs) 的住院率也明显高于痴呆症组 (调整后比率为1.78).
- 在痴呆症组中入院率较高的特定ACSC包括肺炎,心力衰竭,脱水,和尿路感染.
结论:
- 发病性痴呆症与老年人住院的风险增加有显著的关联.
- 这种增加的风险延伸到对门诊护理敏感情况的住院治疗,这表明有预防的潜力.
- 这些发现强调了积极的门诊管理对患有痴呆症或被诊断患有痴呆症的风险人群的重要性.
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